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Home My WebLink AboutPA SUMMARY - 22-00228 - 4961 Nordic Way - New SFR MechanicalApplication Summary Application Number: 22-00228 MC-SFR - Madison County - Single Family Residence Received Date: 04/06/2022 4961 Nordic Way - New SFR Mechanical Address: 4961 Nordic Way Property Information 4961 Nordic Way NORDIC RIDGE ESTATESRP04NRE0020020 People Information Applicant - Blake Brower 3821 E 120 N blake.brower82@gmail.com Rigby, Id 83442 Mobile: 2087151416 Owner - Gary Williams 4961 Nordic Way Rexburg, id 83440 Contractor Information Mechanical Contractor - Fire & Ice Heating and AC LLC - Blake Brower 028691 (01/31/2023) blake.brower82@gmail.com 3821 E 120 N Rigby, ID 83442 Mobile: 208-715-1416 Gas Company - Intermountain Gas Company - Chad Darrington 0000 (06/08/2022) IFPermits@intgas.com Work: 800-548-3679 Page 1 of 2Print Date: 04/06/2022 Application Summary Application Number: 22-00228 MC-SFR - Madison County - Single Family Residence Received Date: 04/06/2022 4961 Nordic Way - New SFR Mechanical Address: 4961 Nordic Way Application Information Detail Description Quantity Value Additional Inspections Required Please describe the mechanical work being done HVAC New construction with high efficiency furnace. Gas lines and Gas Fireplace. 1.00Number of Furnaces being installed? ($65 per furnace) 1.00 1.00Number of Air Conditioning units being installed? ($65 for 1st + $10/additional HVAC equipment) 1.00 1.00Are any gas lines being installed/replaced? No = 0 Yes = 1 ($65 for 1st + $10/additional HVAC equipment) 1.00 Number of water heaters being installed/replaced ($65 for 1st + $10/additional HVAC equipment) 0.00 Number of free-standing fireplaces being installed? ($65 for 1st + $10/additional HVAC equipment) 0.00 1.00Number of built-in fireplaces being installed? ($65 for 1st + $10/additional HVAC equipment) 1.00 Are you installing in-floor heating zones? (hydronic heating) No = 0 Yes = 1 ($65 for 1st + $10/additional HVAC equipment) 0.00 Number of other additional HVAC equipment not listed above ($65 for 1st + $10/additional HVAC equipment) 0.00 YBy checking this box, I acknowledge the requirement for contractors to be registered with the State and/or claim exemption from this requirement as a homeowner working on my own home. Comments Fee Information Fee Code & Description Amount $95.00Mechanical - Misc. $65 base + $10 per ea (BLDMEWRK2) $95.00 Payment Information Payment AmountTender Type Reference InfoPayment Date Page 2 of 2Print Date: 04/06/2022